Wild Rose Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Required Annual Inspection and met with Toni Pump, back up administrator. Annual fees are current. Required postings observed. LPA/back up administrator toured the facility inside, outside and made the following observations: Facility was a comfortable temperature with thermostat reading at 70 degrees F. Passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathrooms measured at 131 and 131.4 which are not within allowable range of 105 to 120 degrees F in faucets used by residents. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cleaning supplies were not accessible to residents in care. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected May 2025. Smoke and Carbon Monoxide detectors were tested during inspection and operational. Exit doors have auditory alert system that were functional at time of visit. The facility have been conducted a disaster drill within the last quarter. Medications and medication records were reviewed. LPA initiated file review at 9:30 am. Five resident and three staff files were reviewed. All five residents medical assessments, needs appraisals/needs and services plans are updated. Staff have required First aid and CPR certificates and required additional training hours completed per regulation. Administrator Certificate for Sharita Harris 6035200740 expires on 5/27/26. Back up administrator agrees to submit updates of the following documents by 9/16/2025: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and Copy of Liability Insurance Certificate. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Appeal rights given. Exit interview was conducted with Back up administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Sep 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unnanounced to conduct a Required Annual Inspection and met with Toni Pump, Administrator. There is currently one resident receiving hospice services and residents with a diagnosis of dementia. Annual fees are current. LPA/Administrator toured the facility inside, outside and made the following observations: Facility was a comfortable temperature with thermostat reading at 70 degrees F. Passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathrooms measured at 113.7, 113.5 and 112.9 which are within allowable range of 105 to 120 degrees F in faucets used by residents. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cleaning supplies were not accessible to residents in care. Knives are located in a locked closet in the kitchen. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected May 2024. Smoke and Carbon Monoxide detectors were tested during inspection and operational. Exit doors have auditory alert system that were functional at time of visit. The facility have not conducted a disaster drill within the last quarter (technical violation was issued). Medications and medication records were reviewed. Required postings observed. LPA initiated file review at 10:00 am. Five resident and three staff files were reviewed. One out of five residents needs appraisals/needs and services plans to be updated (technical violation issued). Staff have required First aid and CPR certificates and required additional training hours completed per regulation. Continue on LIC809C... Continued from LIC809... Administrator Certificate for Pamela Johnson 7005563740 is showing as pending in the Department's list of renewal of administrator's certificate. However, LPA was informed that the facility will be submitting required documentation to appoint a new administrator. LPA provided in this report documentation needed to appoint a new administrator as follow: LIC 200 (original - must be mailed or delivered to the Regional Office), LIC 308 Designation of Facility responsibility (designation of who is the administrator), Copy of current Administrator Certificate, Administrator Resume (if possible), LIC 501 Personnel Record, LIC 500 Personnel Report (indicating you as administrator with your schedule), Copy of Personal ID and Copy of Board of Directors' Resolution meeting minutes signed (required for all corporations). Licensee/Administrator agrees to submit updates of the following documents by 9/17/2024: - Designation of Administrative Responsibility (LIC308) - Personnel Report (LIC500) - Control of property. - Copy of Liability Insurance Certificate. No deficiencies cited during today's inspection. Exit interview was conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Sep 10, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct this Case Management Visit to amend a LIC809D report originally dated 02/29/2024. LPA met with Toni Pump (Administrator). The document requires amending because LPA mistakenly wrote in the deficiency page that 5 out of 5 residents, instead of 1 out of 5 residents' medications were not logged into the centrally stored medication log. Report was amended and signed today, 3/7/2024. No citations were issued during this visit.the state’s words, verbatim · CDSS document, Mar 7, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Cuadra arrived unannounced at facility for the purpose of conducting a Case Management- incident inspection regarding a medication error. LPA met with Administrator Toni Pump. LPA is following up regarding a self-reported Incident Report received by Community Care Licensing (CCL) on 01/10/2024 of a medication error. The error occurred on 1/9/2024 when staff (S1) was performing a spot check of medications of resident (R1), there was a discrepancy observed by S1 with medication named hydromorphone 4mg, which were not logged into the Centrally Stored Medication Log, then S1 notified responsible parties including CCL about the medication error. Per Administrator, R1's responsible party is responsible to bring the medication over to the facility, staff used to receive any amount of medications and if it was stapled they would not count the medication. S1 does not recall if the medication brought by the responsible party was stapled or not, because it was about 30 days ago. Administrator provided LPA with the Centrally Stored Medication Log for the month of January 2024 and Medication Administration Records that indicates that R1 was assisted with their medication as prescribed by their Physician. There is a new procedure implemented where all staff must count the medications every time that responsible parties bring medications over for residents, unless that they are stapled coming directly from the pharmacy. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with the Administrator and copy of this report as well as appeal of rights were provided.the state’s words, verbatim · CDSS document, Feb 29, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(6) · Plan of correction due date: Mar 7, 2024

87465 Incidental Medical and Dental Care (a) A plan for incidental medical & dental care...: (6)When requested by the prescribing physician or the Dpt, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement has not been met as evidence by: ***AMENDED DOCUMENT - LPA amended document to update that there was one resident involved not five as stated in original LIC809D.*** Based on LPA's interviews and medication review, centrally stored medication log was not accurate in 1 of 5 residents which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 29, 2024

Plan of correction: Facility to submit LIC9098 self-certifying they have conducted staff training on how to properly keep records of medications on CSML to CCL by POC due date to clear the deficiency.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA ) Cuadra arrived unannounced at the facility for the purpose of conducting a Case Management - staff file review Inspection. LPA was greeted at the door by Administrator Toni Pump and was granted access into the facility. During last visit, staff files were locked and LPA was unable to review them. Today, LPA reviewed three out of three staff files, they all have 20 annual training required hours including current CPR and 1st aid as instructed per regulation. During today's visit, there were no citations issued. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Oct 24, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unnanounced to conduct a Required Annual Inspection and met with Alberto Aparicio (caregiver). Pamela Johnson (Licensee) was not able to come to the facility, but was available by phone and gave authorization for staff to sign the report. There is currently no residents in hospice and residents with a diagnosis of dementia. Required postings were observed. All fees are current as of this time. LPA/staff toured the facility grounds inside and outside and made the following observations: Facility was a comfortable temperature with thermostat reading at 78 degrees F. Passageways were free from obstructions. Resident rooms were furnished per regulation. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Medications were centrally stored and locked. Fire extinguisher was last inspected May 2023. Smoke and Carbon Monoxide detectors were tested during inspection and operational. Exit doors have auditory alert system that were functional at time of visit. Last Disaster Drill was conducted on June 16, 2023. Licensee agreed to conduct a disaster drill every quarter as stated per regulation. A technical advisory will be issued. Cleaning supplies were not accessible to residents in care. Knives are located in a locked closet in the kitchen. Facility has at least two days of perishable & one week of non-perishable foods. At approximate 9:00am LPA/staff observed water temperature in resident's bathrooms measured at 121.1, 121.5 & 121.6 which are not within allowable range of 105 to 120 degrees F in faucets used by residents. Continue on LIC809C... Continued from LIC809... At approximate 9:30am LPA/staff observed main fridge located in the facility kitchen was locked. Per staff, they do lock it due to resident's behavior to wake up at night and opens the fridge. LPA discussed with Licensee that a waiver request needs to be submitted to the Department for review and approval if they wish to have a locked fridge, outlining why the refrigerator needs to be locked and how adequate and readily available snacks and beverages will be provided to residents. Licensee agreed a waiver request and its supporting documents would need to be submitted to the Department. LPA observed staff removed the lock from the main fridge during visit. Resident's daily care notes are updated. File review was initiated at 10:30 am. Five resident files were reviewed. All residents files have current medical assessments and needs appraisals/care services plans updated. Staff on duty have required First aid and CPR certificate updated. However, Licensee informed LPA that all staff records were locked in the facility office. LPA will return to review staff files to ensure that staff have their files current. Administrator Certificate for Pamela Johnson 6018738740 expires 7/27/24. Medications and medication records were reviewed. Licensee agreed to submit updates of the following documents by 10/31/2023: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), control of property and liability insurance. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Appeal rights given. Exit interview conducted with staff, Licensee was aware of deficiencies via phone and copy of report was given.the state’s words, verbatim · CDSS document, Oct 17, 2023

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.